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Action plans in asthma.
Marie-France Beauchesne1, Valérie Levert, Miray El Tawil
1Hôpital du Sacré-Coeur de Montréal, Faculty of Pharmacy, University of Montreal, Montreal, Quebec. marie-france.beauchesne@umontreal.ca
Canadian Respiratory Journal
|September 20, 2006
Summary
Most asthma patients lack written action plans, despite recommendations. A study found 46% had plans, with high confidence, but traditional plans outperformed simplified versions.
Area of Science:
- Pulmonary Medicine
- Respiratory Health
- Chronic Disease Management
Background:
- Persistent asthma requires action plans to reduce morbidity.
- Individualized, written asthma action plans are underutilized despite recommendations.
- Asthma action plans are crucial for managing this chronic respiratory condition.
Purpose of the Study:
- To determine the prevalence of individualized, written asthma action plans in patients attending a tertiary care asthma clinic.
- To evaluate patient confidence and perceived efficacy of their current action plans.
- To compare the confidence and efficacy of traditional versus simplified asthma action plan tools.
Main Methods:
- A descriptive study was conducted at a tertiary care asthma clinic.
- 92 asthmatic patients were assessed for possession of an action plan.
- Patient confidence and perceived efficacy of action plans were evaluated using rating scales.
Main Results:
- 46% of patients possessed an individualized, written asthma action plan.
- Patients reported high average confidence (4.1/5) and perceived efficacy (3.3/4) in their plans.
- Traditional asthma action plan tools demonstrated higher confidence and efficacy compared to a simplified tool.
Conclusions:
- Asthma action plan possession (46%) exceeded the Canadian average (10%), potentially due to specialized care.
- Despite high patient confidence, individualized action plans are not universally adopted.
- Further efforts are needed to ensure all persistent asthma patients utilize recommended action plans.
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